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Suspected peritonsillar abscess in children.

Kelly R Millar¹, David W Johnson, Derek Drummond

¹Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada. Kelly.Millar@CalgaryHealthRegion.ca

Pediatric Emergency Care

|August 2, 2007

Summary

This summary is machine-generated.

Peritonsillar abscess (PTA) is most common in adolescents. Most children with suspected PTA can be treated as outpatients without adverse outcomes, and corticosteroid use showed no clear benefit.

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Area of Science:

Pediatric Otolaryngology
Infectious Diseases

Background:

Peritonsillar abscess (PTA) is a common complication of tonsillitis in children.
Understanding the epidemiology and management of PTA in pediatric populations is crucial for optimizing patient care.

Purpose of the Study:

To describe the demographics and clinical course of pediatric peritonsillar abscess (PTA).
To determine the incidence of suspected and confirmed PTA in children.
To examine factors influencing corticosteroid use and outpatient management of suspected PTA.

Main Methods:

Population-based, retrospective chart review of children diagnosed with PTA in the Calgary Health Region (CHR) from March 1994 to December 2001.
Inclusion criteria: age <18 years, CHR resident, diagnosed with PTA (ICD-9 475).

Main Results:

229 children experienced 249 episodes of suspected PTA; incidence was 14/100,000 person-years, highest in adolescents (40/100,000).
Confirmed PTA incidence was 3/100,000 person-years.
69% of patients were managed as outpatients, with 8% requiring subsequent admission; 37% received corticosteroids without clear benefit or harm.

Conclusions:

Peritonsillar abscess predominantly affects adolescents but can occur in younger children.
Outpatient management is safe and effective for the majority of pediatric PTA cases.
Corticosteroid use in pediatric PTA is common but lacks demonstrated efficacy or adverse effects.